COMMUNITY HEALTH PROJECT INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH PROJECT INC (EIN 13-3409680)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-06-03
IRS object ID
201311549349300121
Schema version
2011v1.5
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-06-03T13:19:47-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN221478099EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 6TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133409680EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH PROJECT INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone2122717200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1356 WEST 18TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10011ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAY LAUDATOName
TitleEXECUTIVE DIRECTORTitle
Phone2122717200Phone
Date Signed2013-05-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CALLEN LORDE COMMUNITY HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAY LAUDATONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1356 WEST 18TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10011ZIPCode
FieldValueIRS element (for citing)
Gross Receipts34179468GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CALLEN-LORDE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionPROVIDES SENSITIVE QUALITY HEALTH CARE TO AND RELATED SERVICES PRIMARILY TO NEW YORK'S LESBIAN, GAY, BISEXUAL AND TRANSGENDER COMMUNITIES IN ALL THEIR DIVERSITY REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees265TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7652317ContributionsGrantsPriorYear
Contributions Grants Current Year5649574ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15755039ProgramServiceRevenuePriorYear
Program Service Revenue CY28454898ProgramServiceRevenueCY
Investment Income Prior Year1176InvestmentIncomePriorYear
Investment Income Current Year494InvestmentIncomeCurrentYear
Other Revenue Prior Year79407OtherRevenuePriorYear
Other Revenue Current Year-79783OtherRevenueCurrentYear
Total Revenue Prior Year23487939TotalRevenuePriorYear
Total Revenue Current Year34025183TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13295366SalariesEtcPriorYear
Salaries Etc Current Year13467254SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year367221TotalFundrsngExpCurrentYear
Other Expense Prior Year9250492OtherExpensePriorYear
Other Expenses Current Year18463950OtherExpensesCurrentYear
Total Expenses Prior Year22545858TotalExpensesPriorYear
Total Expenses Current Year31931204TotalExpensesCurrentYear
Revenues Less Expenses Prior Year942081RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2093979RevenuesLessExpensesCY
Total Assets BOY13304481TotalAssetsBOY
Total Assets EOY14168137TotalAssetsEOY
Total Liabilities BOY8616739TotalLiabilitiesBOY
Total Liabilities EOY7386416TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4687742NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6781721NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDES SENSITIVE QUALITY HEALTH CARE TO AND RELATED SERVICES PRIMARILY TO NEW YORK'S LESBIAN, GAY, BISEXUAL AND TRANSGENDER COMMUNITIES IN ALL THEIR DIVERSITY REGARDLESS OF THEIR ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense27721693Expense
Revenue28454898Revenue
DescriptionCALLEN-LORDE OFFERS A COMPREHENSIVE, INTEGRATED PROGRAM OF QUALITY MEDICAL AND MENTAL HEALTH SERVICES UNDER A PRIMMARY CARE MODEL, WHICH EMPHASIZES PREVENTIVE HEALTH AND WELLNESS. ALL OF CLCHC'S SERVICES HAVE BEEN SHAPED BY COMMUNITY NEED, AND INCLUDE COMPREHENSIVE PRIMARY CARE, ADOLESCENT/ YOUNG ADULT SERVICES, URGENT/EPISODIC CARE, GINECOLOGY, FAMILY PLANNING, HIV AND SEXUALLY TRANSMITTED INFECTION SCREENING AND TREATMENT SERVICES, HEALTH EDUCATION/ TREATMENT ADHERENCE COUNSELING, DENTISTRY, PSYCHIATRY, INDIVIDUAL AND GROUP PSYCHOTHERAPY, COMMUNITY OUTREACH, AND CARE COORDINATION. IN FY 2012, CLCHC PROVIDED OVER 73,283 PATIENT VISITS.Description
Total Program Service Expense27721693TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109667NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees265NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ALESSANDRA DA CRUZ DIRECTOR OF FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2122717200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line139-47 W 19TH STREET ROOM 614AddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10011ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ARCHLEY PRUDENT
BOARD MEMBER1.00X000
CARLOS RIOBO
BOARD MEMBER1.00X000
CLAUDIA SLACIK
CO-CHAIR1.00X000X
DANIEL DOKOS
BOARD MEMBER1.00X000
DAVID SANDMAN
BOARD MEMBER1.00X000
ELIZABETH BENJAMIN MSPH JD
BOARD MEMBER1.00X000
ELIZABETH LORDE-ROLLINS MD
BOARD MEMBER1.00X000
JUSTUS EISFELD
BOARD MEMBER1.00X000
KAREN SAUVIGNE
SECRETARY1.00X000X
KRISCZAR BUNGAY MD
BOARD MEMBER1.00X000
LAURA JACOBS LMSW
BOARD MEMBER1.00X000
MICHAEL BAYER
CO-CHAIR1.00X000X
TOM VIOLA
BOARD MEMBER1.00X000
ALESSANDRA DA CRUZ
DIRECTOR OF FINANCE20.00000X
WENDY STARK
EXECUTIVE DIRECTOR40.0013687505704X
ANITA RADIX
DIRECTOR OF RESEARCH40.0015859708722X
ANTHONY VAVASIS
DIRECTOR OF MEDICINE40.0015340608766X
GAL MAYER
CHIEF MEDICAL DIRECTOR40.0017259109566X
GERALD LADAUTO
DIRECTOR OF PROJECTS40.0013585608343X
RONA VAIL
PHYSICIAN40.0013076009566X
FieldValueIRS element (for citing)
Total Reportable Comp From Org888085TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation50667TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NEXTGEN HEALTHCARE
795 HORSHAM ROADHORSHAMPA19044BILLING SOFTWARE316407
CAULDWELL WINGATE CO LLC
380 LEXINGTON AVENUENEW YORKNY10168CONSTRUCTION143106
J PREVEDELLO SERVICES
160 E 38TH STNEW YORKNY100162651CLEANING SERVICES132106
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events277919FundraisingEvents
Government Grants3866664GovernmentGrants
All Other Contributions1504991AllOtherContributions
Total Contributions5649574TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY 340B PROGRAM6241001682944516829445
MEDICAID62410039659823965982
NEW YORK STATE MEDICAI62410025361792536179
NEW YORK STATE UNCOMPE62410019717901971790
MEDICAID MANAGED CARE62410012845161284516

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1866986TotalRevenueColumn
Related Or Exempt Function Income1866986RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue28454898TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column494TotalRevenueColumn
Exclusion$494ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4000Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4000TotalRevenueColumn
Exclusion$4,000ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events37065GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events277919CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses154285FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-117220TotalRevenueColumn
Exclusion-$117,220ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS90009926003$26,003
MEDICAL RECORDS9000997434$7,434
FieldValueIRS element (for citing)
Total Other Revenue33437TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column34025183TotalRevenueColumn
Related Or Exempt Function Income28454898RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$79,289ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total150249Total
Program Services119300ProgramServices
Management And General27872ManagementAndGeneral
Fundraising3077Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10804752Total
Program Services8579104ProgramServices
Management And General2004356ManagementAndGeneral
Fundraising221292Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1428930Total
Program Services1134588ProgramServices
Management And General265076ManagementAndGeneral
Fundraising29266Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1083323Total
Program Services860171ProgramServices
Management And General200964ManagementAndGeneral
Fundraising22188Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total118283Total
Management And General118283ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total77995Total
Management And General77995ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1118170Total
Program Services449117ProgramServices
Management And General664103ManagementAndGeneral
Fundraising4950Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total126340Total
Program Services100621ProgramServices
Management And General25719ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total254802Total
Program Services170650ProgramServices
Management And General54057ManagementAndGeneral
Fundraising30095Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total54329Total
Program Services48468ProgramServices
Management And General4488ManagementAndGeneral
Fundraising1373Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10175Total
Program Services9077ProgramServices
Management And General841ManagementAndGeneral
Fundraising257Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total274523Total
Program Services249541ProgramServices
Management And General24982ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total363384Total
Program Services330316ProgramServices
Management And General33068ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total117131Total
Program Services85578ProgramServices
Management And General31553ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PHARMACEUTICALS1447480714474807
CONSUMABLE SUPPLIES710727609893100834
PROVISION FOR BAD DEBTS168270168270
OTHER166551300108739749144

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total428463Total
Program Services302182ProgramServices
Management And General120702ManagementAndGeneral
Fundraising5579Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total31931204Total
Program Services27721693ProgramServices
Management And General3842290ManagementAndGeneral
Fundraising367221Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY780BOY
EOY780EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY532542BOY
EOY1766373EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2611552BOY
EOY3324899EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2236798BOY
EOY1241617EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY362396BOY
EOY361776EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY50576BOY
EOY110794EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12049470LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5339578LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6830688BOY
EOY6709892EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY407135BOY
EOY379992EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY272014BOY
EOY272014EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13304481BOY
EOY14168137EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2096582BOY
EOY2444017EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5965687BOY
EOY4680676EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY554470BOY
EOY261723EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8616739BOY
EOY7386416EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4509358BOY
EOY6515272EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY178384BOY
EOY266449EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4687742BOY
EOY6781721EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13304481BOY
EOY14168137EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2093979ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3995332CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4334308CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5116010CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7652317CurrentTaxYearMinus1Year
Current Tax Year5649574CurrentTaxYear
Total26747541Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3995332CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4334308CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5116010CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7652317CurrentTaxYearMinus1Year
Current Tax Year5649574CurrentTaxYear
Total26747541Total
FieldValueIRS element (for citing)
Public Support Total17026747541PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48065CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years320CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37041CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27176CurrentTaxYearMinus1Year
Current Tax Year494CurrentTaxYear
Total113096Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years130466CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years191317CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years370818CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year352845CurrentTaxYearMinus1Year
Current Tax Year70502CurrentTaxYear
Total1115948Total
FieldValueIRS element (for citing)
Total Support27976585TotalSupport
Gross Receipts From Admissions Etc73575282GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95610PublicSupportPertcentage170
Public Support Pertcent Prior Year0.95260PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1000000OtherCostOrOtherBasis
Book Value1000000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7876907OtherCostOrOtherBasis
Depreciation2836187Depreciation
Book Value5040720BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3172563OtherCostOrOtherBasis
Depreciation2503391Depreciation
Book Value669172BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6709892TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO THIRD PARTYDescription
Amount$261,723Amount
FieldValueIRS element (for citing)
Total Of Amounts261723TotalOfAmounts
Total Revenue34025183TotalRevenue
Total Expenses31931204TotalExpenses
Excess Or Deficit For Year2093979ExcessOrDeficitForYear
Excess Or Deficit Per FS2093979ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt34179468TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal34179468RevenueSubtotal
Other Revenues Not Included-154285OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-154285RevenueNotRptdOnFinStmt
Total Revenue Per Form99034025183TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt32085489TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal32085489ExpensesSubtotal
Other Expenses Not Included-154285OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-154285ExpensesNotRptdOnFinStmt
Total Expenses Per Form99031931204TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:CALLEN-LORDE WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. CALLEN-LORDE HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2012 AND 2011. CALLEN-LORDE'S U.S. FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2009 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. CALLEN-LORDE RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENTS OF FINANCIAL POSITION. CALLEN-LORDE HAS FILED ALL REQUIRED PAYROLL TAX RETURNS AND PAYROLL TAXES DUE HAVE BEEN PAID.
PART XII, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSES -154,285.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSES -154,285.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1HEALTH AWARDSNameOfEvent1
Gross Receipts Event1190491GrossReceiptsEvent1
Charitable Contributions Event1166516CharitableContributionsEvent1
Gross Revenue Event123975GrossRevenueEvent1
Rent Facility Costs Event150417RentFacilityCostsEvent1
Food And Beverage Event1320FoodAndBeverageEvent1
Entertainment Event18686EntertainmentEvent1
Other Direct Expenses Event12175OtherDirectExpensesEvent1
Name Of Event2ZOONameOfEvent2
Gross Receipts Event2108684GrossReceiptsEvent2
Charitable Contributions Event2101369CharitableContributionsEvent2
Gross Revenue Event27315GrossRevenueEvent2
Rent Facility Costs Event225150RentFacilityCostsEvent2
Food And Beverage Event239431FoodAndBeverageEvent2
Entertainment Event21225EntertainmentEvent2
Other Direct Expenses Event219822OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events15809GrossReceiptsOtherEvents
Charitable Contrib Other Events10034CharitableContribOtherEvents
Gross Revenue Other Events5775GrossRevenueOtherEvents
Food And Beverage Other Events5128FoodAndBeverageOtherEvents
Entertainment Other Events225EntertainmentOtherEvents
Other Direct Expenses Other Events1706OtherDirectExpensesOtherEvents
Gross Receipts Total314984GrossReceiptsTotal
Charitable Contributions Total277919CharitableContributionsTotal
Gross Revenue Total Events37065GrossRevenueTotalEvents
Rent Facility Costs Total Events75567RentFacilityCostsTotalEvents
Food And Beverage Total Events44879FoodAndBeverageTotalEvents
Entertainment Total Events10136EntertainmentTotalEvents
Other Direct Expenses Total Events23703OtherDirectExpensesTotalEvents
Direct Expense Summary Events154285DirectExpenseSummaryEvents
Net Income Summary-117220NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANITA RADIX
158597000000087220167319000
ANTHONY VAVASIS
153406000000087660162172000
GAL MAYER
172591000000095660182157000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2DIRECTOR OF FINANCE ALESSANDRA DA CRUZ WORK FOR A MANGEMENT COMPANY THAT IS USED BY CALLEN LORDE COMMUNITY HEALTH CENTER. THEREFORE SHE IS NOT INDEPENDENT.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS REVIEWED PRIMARILY BY THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE. A DRAFT COPY IS FINALIZED AND THE FINAL VERSION IS PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL DISCLOSURE STATEMENTS OF ANY CONFLICT OF INTEREST ARE REQUIRED AND SIGN IF THE BOARD OR EXECUTIVE DIRECTOR, AS APPLICABLE, HAS REASONABLE CAUSE TO BELIEVE THAT A PERSON HAS FAILED TO DISCLOSE AN INTEREST, THE PERSON SHALL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE IF, AFTER HEARING THE RESPONSE OF THE INDIVIDUAL WHO FAILED TO DISCLOSE AN INTEREST, AND MAKING SUCH FURTHER INVESTIGATION AS MY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR EXECUTIVE DIRECTOR DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AN INTEREST IN ACCORDANCE WITH SECTION II F 3, APPROPRIATE CORRECTIVE AND/OR DISCIPLINARY ACTION SHALL BE TAKEN, INCLUDING REMOVAL OF THE INDIVIDUAL FROM THE SELECTION, NEGOTIATION OR ADMINSTRATION OF ANY CONTRACTS OR GRANTS.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS APPROVES THE EXECUTIVE DIRECTOR'S ("ED") COMPENSATION PACKAGE, THIS IS DOCUMENTED IN HER EMPLOYEES FILE (WHICH IS KEPT BY HR) THE COMPNESATION OF THE REST OF THE SENIOR MANAGEMENT TEAM IS SET BY THE ED IN CONSULTATION WITH THE HUMAN RESOURCES DEPARTMENT, WHICH USES INDUSTRY BENCHMARKS.
FORM 990, PART VI, SECTION C, LINE 19OUR GOVERNING DOCUMENTS AND OTHER POLICY STATEMENTS ARE AVILABLE BY REQUEST.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.
FORM 990, PAGE 1, SECTION B:THE RETURN IS BEING AMENDED DUE TO NEW INFORMAITON BECOMING AVAILABLE THAT WAS NOT AT THE TIME OF FILING.
FORM 990, PART IV, QUESTION 20A:THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THE ORGANIZATION DOES NOT MEET THIS DEFINITION.

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